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General NPI Number Information
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NPI Number | 1649722927
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Entity Type | Organization
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Legal Business Name | LAURENT GRESSOT, MD, PA
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 21216 NORTHWEST FWY SUITE 203
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City | CYPRESS
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State | TX
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Zip | 77429-1439
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Country | US
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Telephone | 713-805-1327
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Fax |
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Provider Business Mailing Address
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Address Line | 5419 HOLLY ST
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City | BELLAIRE
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State | TX
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Zip | 77401-4703
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Country | US
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Telephone | 713-805-1327
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LAURENT GRESSOT
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Credential | M.D.
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Telephone | 713-805-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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